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It is equivalent to a transient STEMI. Now you have ECG and troponin evidence of ischemia, AND ventricular dysrhythmia, which means this is NOT a stable ACS. She has done quite a bit of research on the topic. If you would not have activated the cath lab based on the first ECG, you really should strongly think about it now.
I remember Allie well from her days in the Research volunteer program at Hennepin. 2) The STE in V1 and V2 has an R'-wave and downsloping ST segments, very atypical for STEMI. Cardiology was consulted and they agreed that the EKG had an atypical morphology for STEMI and did not activate the cath lab. Bicarb 20, Lactate 4.2,
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